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Research article
Factors associated with seeking post-abortion care among women in Guangzhou, China
Ribo Xiong
Nanhai Hospital,Southern Medical University
Corresponding Author
ORCiD: https://orcid.org/0000-0001-6883-1474
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: In China, the vast majority of induced abortions are performed in public hospitals. However, post-abortion care (PAC) services are provided through the national network of family planning clinics, which are independent of the health care system. The integration of PAC services into abortion clinics in public hospitals is a new concept. This study aimed to assess PAC utilization among abortion patients, and identify the possible factors associated with PAC uptake in Guangzhou, China.
Methods: A cross-sectional survey was conducted among 431 women aged 15-43 years in Tianhe district of Guangzhou, China from June to September 2018. We estimated multivariate logistic regression model to examine the factors associated with utilization of PAC services.
Results: Less than half (42%) of the participants used PAC services. Married women were 2.7 times significantly more likely to use PAC services than their unmarried counterparts. Immigrants were 52% significantly less likely to use PAC services than non-immigrants. Women who perceived that their fertility could return later and those who did not know were 45% and 61% significantly less likely to use PAC services compared to those who knew that their fertility could return soon after an abortion. Women with limited decision-making autonomy regarding contraceptive use were 54% significantly less likely to use PAC services than those who made such decisions themselves.
Conclusions: The findings suggest the need for policies and programs to not only strengthen the provision of PAC services but also promote uptake among disadvantaged sub-groups of women in the study setting.
Keywords
Post-abortion care; Contraception; Utilization; Women; China
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On 29 Apr, 2020
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Editorial decision: Major revision
On 11 Apr, 2020
Reviewers invited
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On 03 Mar, 2020
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Editorial decision: Major revision
On 17 Feb, 2020
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On 22 Jan, 2020
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On 21 Jan, 2020
Editor invited
On 21 Jan, 2020
No comments provided
Editorial decision: Major revision
On 16 Jan, 2020
Review #1 received
Received 07 Jan, 2020
Review #2 received
Received 23 Dec, 2019
Reviewer #2 agreed
On 20 Dec, 2019
Reviewer #1 agreed
On 07 Dec, 2019
Editor assigned
On 14 Nov, 2019
Reviewers invited
Invitations sent on 14 Nov, 2019
Editor invited
On 04 Nov, 2019
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First submitted
On 27 Oct, 2019
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Subject Areas
Preventive Medicine
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This preprint is under consideration at BMC Women's Health. A preprint is a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Factors associated with seeking post-abortion care among women in Guangzhou, China
Ribo Xiong
Nanhai Hospital,Southern Medical University
Corresponding Author
ORCiD: https://orcid.org/0000-0001-6883-1474
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Under Review
Version 5
Posted 18 May, 2020
No community comments so far
Editorial decision: Minor revision
On 06 May, 2020
Editor assigned
On 04 May, 2020
Editor invited
On 03 May, 2020
Submission checks complete
On 03 Nov, 2019
No comments provided
Editorial decision: Minor revision
On 29 Apr, 2020
Editor assigned
On 21 Apr, 2020
Submission checks complete
On 20 Apr, 2020
Editor invited
On 20 Apr, 2020
No comments provided
Editorial decision: Major revision
On 11 Apr, 2020
Reviewers invited
Invitations sent on 27 Mar, 2020
Editor assigned
On 03 Mar, 2020
Submission checks complete
On 02 Mar, 2020
Editor invited
On 02 Mar, 2020
No comments provided
Editorial decision: Major revision
On 17 Feb, 2020
Editor assigned
On 22 Jan, 2020
Submission checks complete
On 21 Jan, 2020
Editor invited
On 21 Jan, 2020
No comments provided
Editorial decision: Major revision
On 16 Jan, 2020
Review #1 received
Received 07 Jan, 2020
Review #2 received
Received 23 Dec, 2019
Reviewer #2 agreed
On 20 Dec, 2019
Reviewer #1 agreed
On 07 Dec, 2019
Editor assigned
On 14 Nov, 2019
Reviewers invited
Invitations sent on 14 Nov, 2019
Editor invited
On 04 Nov, 2019
Submission checks complete
On 03 Nov, 2019
First submitted
On 27 Oct, 2019
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Preventive Medicine
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: In China, the vast majority of induced abortions are performed in public hospitals. However, post-abortion care (PAC) services are provided through the national network of family planning clinics, which are independent of the health care system. The integration of PAC services into abortion clinics in public hospitals is a new concept. This study aimed to assess PAC utilization among abortion patients, and identify the possible factors associated with PAC uptake in Guangzhou, China.
Methods: A cross-sectional survey was conducted among 431 women aged 15-43 years in Tianhe district of Guangzhou, China from June to September 2018. We estimated multivariate logistic regression model to examine the factors associated with utilization of PAC services.
Results: Less than half (42%) of the participants used PAC services. Married women were 2.7 times significantly more likely to use PAC services than their unmarried counterparts. Immigrants were 52% significantly less likely to use PAC services than non-immigrants. Women who perceived that their fertility could return later and those who did not know were 45% and 61% significantly less likely to use PAC services compared to those who knew that their fertility could return soon after an abortion. Women with limited decision-making autonomy regarding contraceptive use were 54% significantly less likely to use PAC services than those who made such decisions themselves.
Conclusions: The findings suggest the need for policies and programs to not only strengthen the provision of PAC services but also promote uptake among disadvantaged sub-groups of women in the study setting.